This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (23) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Mishra, S. I. Articles by Hubbell, F. A. Search for Related Content PubMed PubMed Citation Articles by Mishra, S. I. Articles by Hubbell, F. A. Social Bookmarking                         What's this?

Improving Breast Cancer Control Among Latinas: Evaluation of a Theory-Based Educational Program

University of California, Irvine, in the department of medicine, the School of Social Ecology and the Center of Health Policy and Research; 3255 Berkeley Place, Irvine, CA 92697-5800; phone: 949-824-3206; Simshra{at}uci.edu

Leo R. Chavez, PhD

University of California, Irvine in the department of anthropology and the Center for Health Policy and Research

J. Raul Magana, PhD

University of California, Irvine, in the department of medicine and the Center of Health Policy and Research

Patricia Nava, MA

Center for Health Policy and Research at the University of California, Irvine

R. Burciaga Valdez, PhD, MHSA

School of Public Health at the University of California, Los Angeles

F. Allan Hubbell, MD, MSPH

University of California, Irvine, in the department of medicine, the School of Social Ecology and the Center of Health Policy and Research

The study evaluated a theory-based breast cancer control program specially developed for less acculturated Latinas. The authors used a quasi-experimental design with random assignment of Latinas into experimental (n = 51) or control (n = 37) groups that completed one pretest and two posttest surveys. The experimental group received the educational program, which was based on Bandura's self-efficacy theory and Freire's empowerment pedagogy. Outcome measures included knowledge, perceived self-efficacy, attitudes, breast self-examination (BSE) skills, and mammogram use. At posttest 1, controlling for pretest scores, the experimental group was significantly more likely than the control group to have more medically recognized knowledge (sum of square [SS] = 17.0, F = 6.58, p < .01), have less medically recognized knowledge (SS = 128.8, F = 39.24, p < .001), greater sense of perceived self-efficacy (SS = 316.5, F = 9.63, p < .01), and greater adeptness in the conduct of BSE (SS = 234.8, F = 153.33,p < .001). Cancer control programs designed for less acculturated women should use informal and interactive educational methods that incorporate skill-enhancing and empowering techniques.

Health Education & Behavior, Vol. 25, No. 5, 653-670 (1998)
DOI: 10.1177/109019819802500511


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. I. Mishra, R. Bastani, C. M. Crespi, L. C. Chang, P. H. Luce, and C. R. Baquet Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women Cancer Epidemiol. Biomarkers Prev., December 1, 2007; 16(12): 2594 - 2604. [Abstract] [Full Text] [PDF]

				C. M. Masi, D. J. Blackman, and M. E. Peek Interventions to Enhance Breast Cancer Screening, Diagnosis, and Treatment among Racial and Ethnic Minority Women Med Care Res Rev, October 1, 2007; 64(5_suppl): 195S - 242S. [Abstract] [PDF]

				T. L. Fisher, D. L. Burnet, E. S. Huang, M. H. Chin, and K. A. Cagney Cultural Leverage: Interventions Using Culture to Narrow Racial Disparities in Health Care Med Care Res Rev, October 1, 2007; 64(5_suppl): 243S - 282S. [Abstract] [PDF]

				R. C. Palmer, M. E. Fernandez, G. Tortolero-Luna, A. Gonzales, and P. D. Mullen Correlates of Mammography Screening Among Hispanic Women Living in Lower Rio Grande Valley Farmworker Communities Health Educ Behav, August 1, 2005; 32(4): 488 - 503. [Abstract] [PDF]

				J. Legler, H. I. Meissner, C. Coyne, N. Breen, V. Chollette, and B. K. Rimer The Effectiveness of Interventions To Promote Mammography among Women with Historically Lower Rates of Screening Cancer Epidemiol. Biomarkers Prev., January 1, 2002; 11(1): 59 - 71. [Abstract] [Full Text]